Individual
ANIQA FARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
591 S MAIN ST, CROSSVILLE, TN 38555-5006
(931) 484-8076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62182
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2018
Last updated
07/28/2021
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